DI 33095.000 Exhibits

Subchapter Table of Contents
Section   Latest
Transmittal
DI 33095.001 Exhibits - Disability Hearing Units TN BASIC 03-86
DI 33095.005 Request for Reconsideration-Disability Cessation (SSA-789-U4) TN BASIC 03-86
DI 33095.015 Waiver of Right to Appear - Disability Hearing (SSA-773-U4) TN BASIC 03-86
DI 33095.020 Request for Change in Time/Place of Disability Hearing (SSA-769-U4) TN BASIC 03-86
DI 33095.025 Reconsideration/Disability Hearing Process (SSA-888 - English Version) TN BASIC 03-86
DI 33095.030 Reconsideration/Disability Hearing Process (SSA-888-SP - Spanish Version) TN BASIC 03-86
DI 33095.035 Notice Regarding Substitution of Party Upon Death of Claimant - Reconsideration of Disability Cessation (SSA-770-U4) TN 5 09-92
DI 33095.045 Summary of Evidence (SSA-887) TN 1 10-86
DI 33095.055 Sample - Statement of Claimant or Other Person (SSA-795) TN 1 10-86
DI 33095.057 Spanish Translation of Notice of Disability Hearing TN 6 08-94
DI 33095.058 Spanish Translation of Example of Modification to Scheduling Notice When Another Hearing is Required Because DHO Who Held Hearing Becomes Unavailable to Write Decision TN 6 08-94
DI 33095.059 Spanish Translation of Notice Cancelling/Postponing Disability Hearing - Exhibit TN 6 08-94
DI 33095.060 Subpoena-Disability Hearing (SSA-1272-U4) TN 6 08-94
DI 33095.063 Disability Hearing Officer's Report of Disability Hearing (DC) (SSA-1204-BK) TN 5 09-92
DI 33095.065 Disability Hearing Officer's Report of Disability Hearing (SSA-1205-BK) TN 5 09-92
DI 33095.095 Response to Notice of Revised Determination, Form SSA-765 TN 7 09-97
DI 33095.100 SSA-L1674-U2 - Disability Hearing Decision Cover Letter — Without Benefit Continuation TN 1 09-23
DI 33095.102 SSA-L1675-U2 - Disability Hearing Decision Cover Letter — Benefit Continuation Elected at Reconsideration and Offered Again at ALJ Hearing Level TN 1 10-86
DI 33095.104 SSA-L1677-U2 - Disability Hearing Decision Cover Letter — Benefit Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing Level TN 1 09-23
DI 33095.106 SSA-L1648-U2 - Disability Hearing Decision Letter — Without Benefit Continuation - Auxiliary TN 1 09-23
DI 33095.108 SSA-L1656-U2 - Disability Hearing Decision Letter — Benefit Continuation Elected at Reconsideration and Offered Again at ALJ Hearing Level - Auxiliary TN 1 09-23
DI 33095.110 SSA-L1658-U2 - Disability Hearing Decision Letter — Benefit Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing Level — Auxiliary TN 1 09-23
DI 33095.112 SSA-L1678 - Disability Hearing Decision Cover Letter - Without Payment Continuation TN 1 09-23
DI 33095.114 SSA-L1679-U2 — Disability Hearing Decision Cover Letter — Payment Continuation Not Elected at Reconsideration and Offered Again at ALJ Hearing Level TN 1 09-23
DI 33095.116 SSA-L1680-U2 — Disability Hearing Decision Cover Letter — Payment Continuation Elected at Reconsideration and Offered Again at ALJ Hearing Level TN 1 09-23
DI 33095.130 Notice of Disability Hearing Decision (Foreign Claims) (Reproduced Locally) TN BASIC 09-22
DI 33095.135 Disability Hearing Case (SSA-2640) TN 1 10-86

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DI 33095.000 - Exhibits - Table of Contents - 09/22/2023
Batch run: 09/22/2023
Rev:09/22/2023